Organization · NPI-2

Capstone Health Services

Family Medicine · Sioux City, IA

NPI number1891100491
StatusActive
Last updated in NPPESJun 23, 2014

Details

NPI
1891100491
Entity type
Organization (NPI-2)
Legal business name
Capstone Health Services
Organization subpart
No
Enumeration date
Jun 23, 2014
Last updated
Jun 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine03092IAYes

Practice location

2115 Hamilton Blvd
Sioux City, IA 51104-4152

Phone 712-251-2578

Mailing address

2115 Hamilton Blvd
Sioux City, IA 51104-4152

Phone 712-251-2578

Authorized official

Sharon K Vande Vegte
Owner
7122512578

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